- Philadelphia Insurance Companies (Mission Viejo, CA)
- …Investigate, evaluate and settle more complex first and third party commercial auto insurance claims . A typical day will include the following: Thoroughly ... communication as well as results of investigation. Evaluates each claim in light of facts; Affirm or deny coverage;...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company… more
- Insight Global (Los Angeles, CA)
- Job Description The Claims Review Coordinator is responsible for the investigation, documentation and resolution of denied claims in compliance with ... State/Federal law, rules, and guidelines. The Claims Review Coordinator will perform research and utilize extensive claims knowledge to respond to inquiries and… more
- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full ... that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for audits of claims ...This position is responsible for all aspects of assigned claim audits, including audit testing and completion of the… more
- Zurich NA (Sacramento, CA)
- …to optimize outcomes. + Understands, analyzes, and applies the component parts of an insurance policy for complex claims + Ability to follow reserving process ... Sr. Claims Specialist (Workman's Compensation) 128616 Zurich is seeking...of damages allowed by law. + Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available… more
- Zurich NA (Gold River, CA)
- …experience + Experience collaborating across work groups + In-depth knowledge of the insurance industry, claims and the insurance legal and regulatory ... AVP, Claims General Liability 126572 Zurich is currently seeking...Liability Specialty Team. In this pivotal role, you'll oversee claim operations across Captives, Excess & Surplus, and Direct… more
- Guidehouse (San Marcos, CA)
- …finance or customer service. + Working knowledge can be of the following: insurance claims , billing, coding, follow-up, finance, accounting or customer service ... at a minimum daily. + Works all assigned claims daily by resolving edits, validating claim ,...to the appropriate people so the integrity of the insurance master is maintained. + Files adjusted billings based… more
- ICW Group (San Diego, CA)
- …curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change ... will help us continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional offices located throughout… more
- Philadelphia Insurance Companies (Roseville, CA)
- …day-to-day activities of a claims handling unit; oversees the investigation of insurance claims . + Assures that corporate claims handling procedures and ... Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer.… more
- Philadelphia Insurance Companies (Roseville, CA)
- …Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an ... Description Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine...A++ by AM Best. We are looking for a Claims Assistant - to join our team. Summary: Provides… more
- Prime Healthcare (Victorville, CA)
- …Responsibilities Claims Examiner processes routine and non-routine claims using established claim standards, and departmental policies ... and procedures. To accurately evaluate and adjudicate claims in a timely manner and according to set...and customer service. + Knowledge of Medical Terminology, Medical Insurance , and must be computer literate. + High School… more